Erectile dysfunction can be a nightmare to any man. Having a hard erection and sustaining it through sexual intercourse is every man's desire. However, this may not be the case most of the time. When a man is sexually stimulated, he gets an erection. Erectile dysfunction results when he is not able to get or keep an erection when sexually stimulated. The focus is on a man because it is more prevalent in men than women and has long been the subject of research.
There are many causes of erectile dysfunction and is usually a combination of many factors. They range from physical factors; due to an underlying medical condition such as diabetes, heart disease and obesity to psychological factors; that affect the mental state of the person such as anxiety depression and stress and moreover, reduced libido.
The risk factors that increase the probability of a person getting an erectile dysfunction includes the use of certain medications such as antidepressants, smoking, being obese, injuries to nerves or blood vessels that control erections such as a spinal injury, heavy drinking of alcohol, substance abuse and chronic conditions including diabetes and heart diseases. Furthermore, stress and anxiety is also a risk factor.
Signs and symptoms include a persistent problem in getting or keeping an erection.
There are many treatment options to treat erectile dysfunction which includes;
This involves seeking the advice of a psychologist or a counselor to assist you if the cause of the erectile dysfunction is brought about by stress in marriage, relationship issues due to lack of communication, financial issues or social issues. It will involve counseling of both partners for a better outcome.
A change in habits of a person such as quit smoking through tapering the number of cigarettes one smokes until they stop. For the heavy drinkers, they need to reduce their drinking to moderation of at most two bottles of beers in a day. Drug and substance abusers should seek medical attention and be rehabilitated. Obese persons should reduce their weight to achieve a normal basal metabolic rate and excises to improve blood flow to tissues.
Erectile dysfunction is caused by some underlying medical conditions such as diabetes and cardiovascular diseases. Treating these diseases may improve the condition if the dysfunction was due to the disease.
One can undergo a surgery to an occluded blood vessel supplying the penis such as a bypass procedure or a surgical repair. Although this is a treatment option, the obstruction of the blood vessels is very rare and the procedure is very expensive.
These medications have been very successful in the market because they can be taken orally. Among these oral medications is sildenafil (Viagra) and tadalafil (Cialis) approved by the USA Food and Drug Administration (FDA). They belong to a class of drugs known as phosphodieserase isoform 5 inhibitors (PDE-5). These drugs act to increase cyclic guanosine triphoshate (cGMP) leading to relaxation of the nonvascular smooth muscle of the corpora carvenosa in the penis. This relaxation allows inflow of blood at nearly arterial pressure into the sinuses of the carvenosa and it is the pressure of the blood that causes an erection. Both Viagra and Cialis are rapidly absorbed after oral administration. They work through a similar mechanism of action although Cialis works a little bit faster compared to Viagra. lt's onset of action is around fifteen minutes and its effects are more pronounced for a longer period of time.
Absorption of these drugs tends to be reduced with a fatty meal. Cialis is available in 2.5mg, 5mg, 10mg and 20mg tablets while Viagra is available in 25mg, 50mg and 100mg tablets. The dose is individualized and is taken when needed. Furthermore, the dose may be increased or decreased depending with the response of the person. This means that it is important to start with the lowest dosage strength of these medications.
Both Viagra and Cialis are widely available in the local market and online. The stiff competition between various sites that sell Viagra and Cialis online drives the prices down making them relatively cheap. Brand Viagra 25mg costs around $25 per pill while Cialis 20 mg is around $19. At your local pharmacy, your cost of Viagra and Cialis should be slightly cheaper. Good quality generic Viagra and Cialis are also available and are cheaper with Viagra 25mg around $1 per 4-tab pack while Cialis 2omg at around $0.85 per 4-tab pack.
Like any other medication out there in the market, both Viagra and Cialis also have side effects and it is of paramount importance to consult with your family doctor or a pharmacist before starting the medication. The use of this drug in combination with other drugs such as nitroglycerine or alpha-blockers can significantly lower blood pressure and is dangerous.